National Provider Identifier
Samantha K Black, PA-C
Samantha K Black, PA-C is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Williamsville, NY and a listed phone number of (716) 634-3243.
Profile Overview
- NPI
- 1144606351
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- August 11, 2015
- Last Updated
- July 24, 2019
Practice Location
- 825 Wehrle Dr
- Williamsville, NY 14221
Phone: (716) 634-3243
Mailing Address
- 3719 Union RD Ste 218
- Cheektowaga, NY 14225-4251
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1144606351
- Entity Type
- Individual
- Last Name
- Black
- First Name
- Samantha
- Middle Name
- K
- Credential
- PA-C
- Mailing Street Address
- 3719 Union RD Ste 218
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-4251
- Mailing Country
- US
- Mailing Phone
- (716) 206-1503
- Mailing Fax
- (716) 651-9945
- Practice Street Address
- 825 Wehrle Dr
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221
- Practice Country
- US
- Practice Phone
- (716) 634-3243
- Practice Fax
- (716) 634-6056
- Enumeration Date
- August 11, 2015
- Last Updated
- July 24, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)